Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $96.73 / $169.28 / $270.83	Facility		$96.73	$169.28	$270.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.92 / $89.57 / $108.63	Professional		$69.92	$89.57	$108.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $161.60 / $285.83 / $2,283.37	Facility		$161.60	$285.83	$2,283.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.14 / $246.42 / $425.87	Facility		$7.14	$246.42	$425.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.14 / $83.00 / $138.13	Professional		$38.14	$83.00	$138.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $85.67 / $121.73 / $251.89	Professional		$85.67	$121.73	$251.89
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.63 / $102.13 / $109.99	Professional		$100.63	$102.13	$109.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $2,500.00	Professional		$30.00	$30.00	$2,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $41.66 / $53.08 / $103.27	Professional		$41.66	$53.08	$103.27